Poindexter Therapy Services Llc | |
24047 W Lockport St Ste 201e Plainfield IL 60544-1680 | |
(815) 302-0972 | |
Not Available |
Full Name | Poindexter Therapy Services Llc |
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Speciality | Social Worker |
Location | 24047 W Lockport St Ste 201e, Plainfield, Illinois |
Authorized Official Name and Position | Carla Poindexter (OWNER) |
Authorized Official Contact | 8153020972 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Poindexter Therapy Services Llc 24047 W Lockport St Ste 201e Plainfield IL 60544-1680 Ph: () - | Poindexter Therapy Services Llc 24047 W Lockport St Ste 201e Plainfield IL 60544-1680 Ph: (815) 302-0972 |
NPI Number | 1982356465 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 01/25/2022 |
Certification Date | 01/25/2022 |
Medicare PECOS PAC ID | 8224422712 |
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Medicare Enrollment ID | O20220226000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982356465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Carla B Poindexter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013301480 PECOS PAC ID: 9739444266 Enrollment ID: I20180604000386 |
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